Nawyki zywieniowe jako przyczyna tworzenia zlogow zolciowych u osob otylych

Badaniami objęto chorych hospitalizowanych z powodu kamicy żółciowej mających nadwagę lub otyłość. Próbowano ustalić jakie czynniki ryzyka usposabiają do wystąpienia kamicy pęcherzyka i/lub dróg żółciowych. Czynnikiem istotnie różnicującym obie grupy okazały się zwyczaje i nawyki żywieniowe.

Obesity (like age, gender, hormonal disorders, unreasonable diet and some other causes) is a known risk factor of cholelithiasis. The aim of the study was to determine factors which distinguish obese subjects with cholelithiasis from overweight individuals without this ailment. The study involved a selected hospital population. The study group consisted of patients with overweight and obesity hospitalised for cholelithiasis (n=71), while the control group included obese or overweight patients of similar age in whom cholelithiasis was excluded (n=71). Retrospective data concerning risk factors of cholelithiasis were obtained using a questionnaire survey. In the obese women with cholelithiasis, concomitant diabetes and a positive history of familial diabetes were significantly more frequent than in the obese women without that ailment. No statistically significant differences were found among the obese students of both groups in respect of the use of cigarettes, alcohol, coffee, tea, cholesterol-reducing drugs, or the frequency of lipid disorders. In both groups, contraceptives were used by a similar percentage of women. However, childbirth was significantly more frequent among the obese cholelit- hiatic patients. The analysis of dietary habits of the obese patients with and without cholelithiasis showed similar dietary errors leading to obesity, although the consumption of dark bread, cereals, rice, fruit, vegetables and legumes was significantly more frequent among the non-cholelithiatic patients. On the other hand, the consumption of butter, bacon and lard was significantly more frequent in the group of the obese patients with cholelithiasis.